3425 BELL AVE 2023-06-20 - Laserfiche WebLink

Intake & Approval Sheet (FOR PERMIT STAFF ONLY) PERMIT#?2A0471 -O� BUILDING PLANNING Intake OK by: Prn Date: /l12->=7/ G I Intake OK by: Assign To: Date: Intake Comments: Intake Comments: ❑ Route to Commercial Building ❑ Attach to Project No. ❑ Route to Residential Building ❑ Route to Historic Reviewer ❑ Make this a"W"Permit ❑ OK to Route to Other Departments Bldg/TI/Addrj/Rern Aze ❑ Hold in Planning File Drawer Garage/Accessory Struct. Size 04 Zone \� Number of Stories Overlay/Agreement Asi&t\ A�Y' Basement . No ❑Yes , Fin/Unfin ( \-\\\\ Type of Construction Residential Use Occupancy Group Proposed No.of Dwelling Units: Occupancy Load Total No. of Dwelling Units: Fire Sprinklers: DUpdate Existing ❑New System ElNot Req'd Planning/Landscape Inspection Required before Final? DYes ❑No Reason Sprinklers Required: "In Lieu" Fee: Type: Amount$ Fire Alarm: ❑Update Existing ❑New System ❑Not Req'd School Impact Fee: Total $ Reason Fire Alarm Required: Calculated: it: RCW 64.55 MF worksheet req'd for permit? ❑Yes 1E1 No ❑Everett School Dist ukilteo School Dist Add'I ROW 64.55 docs required prior to final? Oyes QNo Additional Notes: VALUATION CALCULATION: Total $ Su,X '-' \.v 2� - Approved B�w' J?� Date: \%_` .- , L PUBLIC WORKS Intake OK by: Date: Additional Notes: Intake Comments: PW Worksheet Needed if: ❑Sys Dev Eval ❑Traffic Mit Eval ❑Site Work or Drainage Proposed Approved By: � _ Date: /-1//c�'1z�'c', ❑Backflow Prevention for high hazard: (dental,medical animals,mortuary,hospital, :supportive housing) FIRE DEPARTMENT DRoute this folder for PW Review at end ---PW Review Worksheet Separate/Deferred Submittals Required: ❑This project also has a separate concurrent PW Review(Green Folder) El Fire Sprinklers DFire Alarm ❑Other: _ AND ❑Create Green Folder ❑Submitted Previously ❑Deferred Additional Notes: El This Permit is Approved by Public Works See PW Review Worksheet and associated attached items Fire Dept. Fees: ❑ A Separate PW Permit is Required (Permit#: PW ❑ Review of As-Built Plans-NO FIRE FEE AND ❑ Is located in this folder ❑ Minimal or No Fire Scope-NO FIRE FEE ❑ Is in a Separate Green Folder(join with this folder for permit issuance) ❑ Review/ Inspection Scope-ADD FIRE FEE ❑ Will be issued separately(Separate Green Folder,PW issued ahead of Bldg) Approved By: Date: ❑ Public Works has no scope---PW Not Required Additional Notes: ELECTRICAL Additional Notes: Approved By: Date: Approved By: 4 _ Date: S, i1(�j�Za Z L